How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $0.72 Median $0.79 Typical High $0.83 | Facility | None | $0.72 | $0.79 | $0.83 |
Aetna Setting Professional Modifier None Typical Low $0.72 Median $0.79 Typical High $1.51 | Professional | None | $0.72 | $0.79 | $1.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.87 Median $1.12 Typical High $4.57 | Facility | None | $0.87 | $1.12 | $4.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.20 Median $3.02 Typical High $3.98 | Professional | None | $1.20 | $3.02 | $3.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | UE · Used equipment | $0.89 | $0.89 | $0.89 |
Blue Shield Setting Facility Modifier None Typical Low $2.82 Median $3.80 Typical High $5.75 | Facility | None | $2.82 | $3.80 | $5.75 |
Blue Shield Setting Professional Modifier None Typical Low $3.09 Median $4.90 Typical High $10.00 | Professional | None | $3.09 | $4.90 | $10.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1.91 Median $2.45 Typical High $7.94 | Professional | None | $1.91 | $2.45 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.69 Median $3.02 Typical High $3.63 | Professional | None | $2.69 | $3.02 | $3.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.91 Median $3.16 Typical High $120.23 | Professional | None | $1.91 | $3.16 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $20.42 | Professional | None | $13.49 | $13.49 | $20.42 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $0.83 Median $2.51 Typical High $2.69 | Facility | None | $0.83 | $2.51 | $2.69 |
Providence Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
United Setting Professional Modifier None Typical Low $1.07 Median $1.20 Typical High $3.39 | Professional | None | $1.07 | $1.20 | $3.39 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.12 Median $0.22 Typical High $2.40 | Professional | RR · Rental | $0.12 | $0.22 | $2.40 |
Where California sits
The same service costs 2.8 times more in Hawaii than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 40th of 51
$1.38
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.